Technical Tips and Tricks in ERCP: Fully Covered Metallic Stent-Assisted Direct Cholangioscopy
Ali Safdar Khan MD, MSPHDivision of Gastroenterology, Baptist Health, Little Rock, Arkansas, USA Klaus Mönkemüller, MD, PhD, FASGE (USA), FJGES (Japan), FESGE (Europe)Professor of Medicine, Department of Gastroenterology, Ameos Klinikum Halberstadt, Germany and Carilion Memorial Hospital, Virginia Tech Carilion School of Medicine, Roanoke, USA Direct cholangioscopy using ultra slims endoscopes (i.e. pediatric gastroscopes or transnasal […]
Rodolfo Valentino Syndrome: Perforated Duodenal Ulcer Mimicking Appendicitis
By Joel Joseph, MD and Klaus Mönkemüller, MD, PhD, FASGE, FJGES, FESGEDepartment of Gastroenterology, Carilion Memorial Hospital, Virginia Tech Carilion School of Medicine, Roanoke, USA Case Presentation: 80-year-old patient with history of lung cancer on immune checkpoint inhibitor therapy presented with acute right lower abdominal pain, elevated inflammatory markers and mild lactic acidosis. The patient […]
Tools of the Trade: The Retentia ® Clip
Tools of the Trade: The Retentia ® Clip Klaus Mönkemüller, MD, PhD, FASGE, FJGES Department of Gastroenterology, Carilion Memorial Hospital, Virginia Tech Carilion School of Medicine, Roanoke, USA Figure 1. Retentia Clip. Key technical information. The Retentia Clip has some interesting and nice features: It is rotatable, It can be deployed with scope in retroflexed […]
Ileum Intubation Made Easy
Endoscopic Resection of Giant Gastric Polyp to Treat Upper GI Bleeding
Endoscopic Resection of Giant Gastric Polyp to Treat Upper GI Bleeding Anand Dwivedi, MD Gastroenterology Fellow, Carilion Memorial Hospital, Virginia Tech Carilion School of Medicine Klaus Mönkemüller, MD, PhD, FASGE, FJGES Professor of Medicine, Virginia Tech Carilion School of Medicine, Roanoke, Virginia, USA An elderly patient presented with massive hematemesis and drop in hemoglobin from […]
A Pro Tip for Clipping Mallory-Weiss Tears
What’s your strategy for clipping a Mallory-Weiss tear? A common mistake is starting proximally. For a more secure closure, place the first clip distally (furthest from the scope). Then, place subsequent clips proximally to create a stable V- or Y-shape, as shown in this diagram from our new guide. This is a preview of the […]
Technical Review: Endoscopic Resection of a Cardia Polyp Inside a Hiatal Hernia Sack Using the Duette Device
by Diana Dougherty, MD, and Klaus Mönkemüller, MD, PhD, FASGE, FJGES Department of Gastroenterology, Carilion Memorial Hospital, Virginia Tech Carilion School of Medicine, Roanoke, USA A middle-aged male patient presented for EGD because of dyspepsia and heartburn. On EGD he was found to have erosive reflux esophagitis grade C based on the Los Angeles classification, […]
Technical Review: Esophageal Dilation with the BougieCap
Luka K. Schöpf, MS, Josip Juraj Strossmayer Universität Osjiek, Croatia, Ameos Klinikum Halberstadt, Germany Klaus Mönkemüller, MD, PhD, FASGE, FJGES, Professor of Medicine, Department of Gastroenterology, Ameos Klinikum Halberstadt, Germany, UEES Guayaquil, Ecuador, Universidad de la República, Uruguay and Carilion Memorial Hospital, Virginia Tech Carilion School of Medicine, Roanoke, USA A 72-year-old man presented with […]
Six Top Tips to Use Argon Plasma Coagulation When Treating Angiodysplasias: An Endoscopic Atlas
Adil S. Mir, MD, FACP Gastroenterology Fellow, Department of Gastroenterology, Carilion Memorial Hospital, Virginia Tech Carilion School of Medicine, Roanoke, USA Reid Wasserman, DO Internal Medicine Resdent, Department of Internal Medicine, Carilion Memorial Hospital, Virginia Tech Carilion School of Medicine, Roanoke, USA Klaus Klaus Mönkemüller, MD, PhD, FASGE, FJGES Professor of Medicine Department of Gastroenterology, […]
Marking Technique for Identifying and Resection Flat Colon Polypoid Lesions or Polyps in Difficult Locations
By Klaus Mönkemüller, MD, PhD, FASGE, FJGES and Reid Wasserman, DO Virginia Tech Carilion School of Medicine, Virginia, USA One of the most frustrating aspects of dealing with small, flat, diminutive colon polypoid lesions or those lying in awkward location is their “disappearance” during colonoscopy, especially when the colon is not perfectly well prepped or […]